| NPI | 1336635689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 74571) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 332982) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2021-04-12 |